Healthcare Provider Details

I. General information

NPI: 1063334456
Provider Name (Legal Business Name): SARAH DENISE ROSENBERGER RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3793 REEMELIN RD
CINCINNATI OH
45211-1837
US

V. Phone/Fax

Practice location:
  • Phone: 513-803-1906
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.09874
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: